Lupus & antiphospholipid syndrome

Efficacy and safety of upadacitinib as monotherapy or combined with elsubrutinib for the treatment of systemic lupus erythematosus: results through 104 weeks in a long-term extension study

RMD OpenPublished Long-term extension study of the SLEek phase 2 randomised trial

Authors' conclusion

In this LTE study, upadacitinib monotherapy and upadacitinib/elsubrutinib combined were well tolerated and continued to demonstrate beneficial effects on SLE disease activity, glucocorticoid dose and flares through 104 weeks.

Study context

Population
Adults with moderately to severely active systemic lupus erythematosus (SLE) who completed the 48-week phase 2 SLEek study
Participants
127 adults
Comparison
Upadacitinib 30 mg QD vs upadacitinib 30 mg/elsubrutinib 60 mg QD vs placebo switched to upadacitinib/elsubrutinib
Methodological details1-year long-term extension
  • 1-year long-term extension

Primary result

As reported in the abstract

Efficacy responses (SRI-4, BICLA, Lupus Low Disease Activity State (LLDAS)) · week 104
  • Efficacy responses maintained or increased from weeks 48 to 104 in all groups

Further findings

SRI-4 response · week 104

BICLA response · week 104

LLDAS · week 104

GC dose and flares · weeks 48 through 104

Mean daily GC dose reduced and flare incidence maintained or further reduced in all treatment groups

Original publication

Efficacy and safety of upadacitinib as monotherapy or combined with elsubrutinib for the treatment of systemic lupus erythematosus: results through 104 weeks in a long-term extension study. RMD Open. Published 18 August 2025. doi:10.1136/rmdopen-2025-005742

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